Service de Psychopathologie du Développement de l'Enfant et de l'Adolescent, Hospices Civils de Lyon, France; Institut des Sciences Cognitives Marc Jeannerod, UMR 5229 CNRS & Université Claude Bernard Lyon 1, France.
Department of Child and Adolescent Psychiatry, CH le Vinatier, Lyon, France; RESHAPE, Research on Healthcare Performance, U1290 INSERM, Claude Bernard University Lyon 1, Lyon, France.
Cortex. 2024 Jul;176:234-236. doi: 10.1016/j.cortex.2024.03.003. Epub 2024 Mar 19.
This Viewpoint explores challenges within the neurodiversity framework, with a particular focus on autism, and discusses three critical aspects: the risk of epistemic injustice, the balance between over and undermedicalization, and the terminological complexities associated with the "neuro-" prefix. It underscores the importance of a balanced approach that avoids overmedicalization while providing essential support, addresses concerns about the indiscriminate use of "neurodiverse", questions the terminology on neurodiversity, and suggests considering a broader term like "biopsychosocial diversity". Ultimately, this Viewpoint advocates for a measured approach to neurodiversity, emphasizing historical context and a diverse perspective to foster collaboration between cognitive science and behavior research.
这篇观点文章探讨了神经多样性框架内的挑战,特别关注自闭症,并讨论了三个关键方面:认识论不公正的风险、过度和不足医疗化之间的平衡,以及与“神经-”前缀相关的术语复杂性。它强调了采取平衡方法的重要性,这种方法既要避免过度医疗化,又要提供必要的支持,解决对“神经多样性”不加区分使用的担忧,质疑神经多样性的术语,并建议考虑使用更广泛的术语,如“生物心理社会多样性”。最终,这篇观点文章主张对神经多样性采取谨慎的方法,强调历史背景和多样化的视角,以促进认知科学和行为研究之间的合作。